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HARRIS TEETER PHARMACY
NPI 1114936622
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Active since August 05, 2006CLIA Certified · 2 labs
5706 WYALONG DR, CHARLOTTE, NC 28227(704) 545-4106(704) 545-9526 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harris Teeter Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRIS TEETER PHARMACY (NPI 1114936622) is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Rose Ward, Manager Pharmacy Acct/ar, as its authorized official.

NPPES Registry Identity

NPI1114936622
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER, LLC
Location Address5706 WYALONG DRCharlotte, NC 28227
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(704) 545-4106
Fax(704) 545-9526
Organization SubpartNo
Authorized OfficialRose WardManager Pharmacy Acct/ar · (704) 844-6524
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1114936622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 09278
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 09278 (NC)
5706 WYALONG DR, Charlotte, NC 28227
Open in Google Maps ↗

Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 3

Other7704522NC · Medicaid Dme
Other34-06166NC · Ncpdp
Medicaid0601006NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2100405

Harris Teeter #174 · Charlotte, NC
Active · expires Aug 13, 2027
CLIA Number34D2100405
Laboratory TypePharmacy
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 545-4106
Laboratory LocationHarris Teeter #1745706 Wyalong Dr, Charlotte, NC 28227
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2100908

Harris Teeter #474 · Mint Hill, NC
Active · expires Aug 24, 2027
CLIA Number34D2100908
Laboratory TypeRetail Pharmacy
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(704) 545-3845
Laboratory LocationHarris Teeter #4747036 Brighton Park Drive, Mint Hill, NC 28227
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
105 services105 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
97 services97 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #174 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #174

DMEPOS supplier · Charlotte, NCOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #174 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20531435
Medicare Participant SinceMarch 22, 2011
Supplier Location5706 Wyalong DriveCharlotte, NC 28227
Phone(704) 545-4106
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN GWATHMEY PHARMD
Pharmacist
5706 WYALONG DR
CHARLOTTE, NC 28227
Mecklenburg County (704) 545-4106
MR. JACK OLIVER MCGAHEY
Pharmacist
5706 WYALONG DR, HARRIS TEETER #174
CHARLOTTE, NC 28227
Mecklenburg County (704) 545-4106
MRS. MARIE T. COTTER R.PH.
Pharmacist
5706 WYALONG DR
CHARLOTTE, NC 28227
Mecklenburg County (704) 545-4106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harris Teeter, LLC's NPI number?

The NPI number for Harris Teeter, LLC is 1114936622. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter, LLC located?

Harris Teeter, LLC is located at 5706 Wyalong Dr, Charlotte, NC 28227. The listed phone number is (704) 545-4106.

What is Harris Teeter, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Harris Teeter, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Harris Teeter Pharmacy #174 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Harris Teeter, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Harris Teeter, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Harris Teeter, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harris Teeter, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.